[Lack of predictive factors for symptomatic recurrence of Crohn disease at the site of surgical anastomosis].
Recurrence of Crohn's disease at the ileocolonic anastomosis after curative surgery is frequent. Prognostic value of several parameters at the time of surgery was studied in 37 patients to detect early symptomatic recurrence of Crohn's disease after surgery. These included patient age at the time of surgery, sex, disease duration before surgery, clinical activity index, length of resected bowel, presence of granulomas in resected bowel segment, indication for surgery, type of medical treatment before surgery, and biochemical parameters at the time of surgery (ESR, C reactive protein and serum albumin level). Symptomatic recurrence associated with endoscopic lesions at the anastomotic site was observed in 10 of 37 patients (27 percent), within one year after surgery. None of the studied parameters were able to differentiate the patients with recurrence or not.
Van Gossum
A
A
Service Médico-Chirurgical de Gastroentérologie, Hôpital Erasme, Université Libre de Bruxelles, Belgique.
Panzer
J M
JM
Gelin
M
M
Devière
J
J
Adler
M
M
Cremer
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D002648:Child; D003424:Crohn Disease / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies
Absence de critères prédictifs d'une récidive symptomatique de la maladie de Crohn au site d'anastomose chirurgicale.